The holder whose full name is SMITH, KENNETH RICHARD,come from GREENFIELD IN,hold the Health Facility Administrator license(NO.14000454A) which status is Expired.
| Name | SMITH, KENNETH RICHARD |
|---|---|
| License Number | 14000454A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | GREENFIELD |
| State | IN |